Kristin's Korner
Insights from Kristin Cox, MD, MGB CPIP Course Director
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Why is diagnostic data so important?
Diagnostic data are unbiased measurements or observations through which you can “diagnose” the problem and its key potentially actionable causes. This data validates your perceptions about the contributing factors (or root causes) of your problem. Remember:
- These data may not be included in standard reports.
- Collecting these data may require observations.
- Consider using simple check/tally sheets to collect data.
- Results are often displayed in a pareto chart.
What is baseline data?
Baseline data, displayed over time, helps us to understand the current performance. This data should be aligned with the project measure and informs our aim statement. As we move forward with our projects, we should track performance in near real-time, so we know if we have made an improvement.
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Welcome Ilona Goldfarb, MD –
Lawrence Center CPIP Course Director
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We are pleased that Ilona Goldfarb, MD joined the CPIP team as the Lawrence Center CPIP Course Director beginning this past fall. Ilona is an Assistant Professor of OB/GYN and Reproductive Biology at Harvard Medical School and a Maternal Fetal Medicine specialist in OB/GYN as well as a CPIP graduate. She has extensive experience with the CPIP program, where she has served as a CPIP coach, faculty for GME CPIP course, and course director for CPIP bootcamp for OB/GYN residents and fellows. Additionally, she brings a wide range of clinical expertise to the role through her work as a COVID-19 leader for the MGH OB/GYN department and her work Principal Investigator for a multidisciplinary CRICO Patient Safety Grant focused on improving Q&S for patients with postpartum hypertension. We are pleased to welcome Ilona to the CPIP team! |
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Currently accepting applications (due May 20, 2022): MGB CPIP (available to employees of all MGB members and affiliates) will be held beginning in September 2022 (click here to apply).
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MGB CPIP for QPE (available to employees of Quality & Patient Experience department) will be held in September 2022 (application announcement TBD).
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Lawrence Center CPIP (available to employees of MGH and affiliates) will be held beginning in October 2022 (application announcement TBD).
If you or someone you know is interested in receiving course details, please reach out to cpip@partners.org to be placed on our application distribution list.
Click here if you would like to join the CPIP Mailing List.
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Congrats to January & March 2022 CPIP Graduates! |
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Check out the completed projects!
The full presentations for the completed projects are posted on the CPIP website.
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One of the key elements to the CPIP curriculum is the use of CPIP graduates as project coaches. This model allows graduates to remain involved in CPIP, continue to utilize the tools learned and to provide firsthand experience as they help guide their team through the process. The CPIP Coach Recognition Award recognizes those who went above and beyond the expectations of a coach. We are pleased to acknowledge all of our September-March 2022 coaches and recognize the recipient of the CPIP Coach Recognition Award: |
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- Nahal Beik, PharmD (MGB)
- Erin Bertagnolli, PA-C (BWH)
- Victoria Carballo, MPH (MGB)
- Christine Chan (MGB)
- Elide Colorado (DFCI)
- Allison Doney, MHA (MGH)
- Jack Donleavy (MGB)
- Maggie Everett, MD (BWH)
- Maria Ferzoco (DFCI)
- Mimi Fradinho, MD (NWH)
- Patrick Gordan, MD (SH)
- Tracy Haycock, RN, BSN (NWH)
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- Masaya Higuchi, MD (MGH)
- Orinta Kalibatas (MGB)
- Sabrina Klein, MA (BWFH)
- Hai Ly, LICSW (BWH)
- David Lyczkowski, MD (NWH)
- Riley Mahan, MBA (DFCI)
- Emily Reiff, MD (BWH)
- Caitlin Sachs, RN, MSN, ACNP-BC (BWH)
- Tyler Salley, MHA, LSSGB (BWFH)
- Raghda Tabbara, RT, CT, MM (BWFH)
- Kate Ulbricht, PharmD, MBA (BWH)
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...and the award goes to... |
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Maria Ferzoco
MGB CPIP Sept '21-March '22 Coach
Quality Improvement Specialist
Quality & Patient Safety, DFCI
Congratulations!
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Collecting Patient REaL, SOGI and/or Disability Data: On Demand Training |
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Many improvement projects are now focusing on the equity of care provided to our patients. One challenge to doing this work is the accuracy of the REaL, SOGI and Disability data in the medical record. The MGB Quality & Patient Experience (QPE) Health Equity team recently published a training that discusses the importance of collecting complete, accurate patient race/ethnicity/language (REaL), sexual orientation/gender identity (SOGI), and Disability data to improve care and equity for all. This training includes definitions of each field, their contribution to understanding population-level health, and how they are used to help design interventions to reduce health disparities. The training is intended for all staff responsible for collecting or supervising collection of patient REaL, SOGI, and/or Disability data, but is also widely applicable to all for whom collection is optional or who have an interest in diversity, inclusion, equity, and justice. Check out the training on HealthStream and forward to others as appropriate: Collecting Patient REaL, SOGI, and Disability Data for Health Equity
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Accomplishments:
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Rose Desilets, MBA (MGB) (June '21): Performance Improvement Activity Accredited for CME and providing MOC was pulled by Joint Accreditation for review during our self-study process. Activity showed full compliance with JA criteria for team-based education and helped us achieve joint accreditation, which will benefit CPIP participants going forward. Please note: This project was not performed by my department. We provided the CME and MOC credit for the project. But, having a quality improvement project for the JA submission really helped us show how Mass General Brigham supports quality improvement in education. Click here to view the project.
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Eric Goralnick, MD, MS (BWH) (June '13): In 2013, Jane Harrington, who was a Nursing Supervisor and I attended CPIP to further develop our program to optimize right triage, i.e., identifying community level patients that could be transferred to BWFH (Faulkner Hospital at the time) from BWH's emergency department. By transferring these patients (level-loading), we could reduce crowding and boarding in the BWH ED and maintain access for transfer to BWH that required tertiary level care. Our approach was patient centered: supporting the idea of matching the right clinical needs, services, site, and team to optimize access throughout the system. This program has now scaled to MGH and BWH EDs having the capability to transfer patients to inpatient GMS at BWFH, NWH, Salem, and Emerson. Through many amazing teammates across the system, we have developed community to community transfer pathways and are standardizing AMC ED to community cardiology and ICU transfers. Click here for more information about this program and here for the brochure.
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Sharon Woo, MS, MBA (MGH) (April '21): Promoted to MGHfC Quality and Safety Program Manager.
Articles & Posters:
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Adam Dalia, MD, MBA (MGH) (March '19): Our intervention and results for our project titled Efficiency Improvements of Nonoperating Room Cardiac Anesthesia Services were published in Journal of Cardiothoracic and Vascular Anesthesia. Click here to read the article.
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Michael Flaherty, DO (MGH) (Jan '21): Our PICU team published our asthma weaning algorithm QI project in Pediatric Quality and Safety, the culmination of a 5-year project that began as my small CPIP project in the trainee CPIP sessions in 2016. Click here to view the article.
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Felisha Marques, MPH (MGH) (Feb '18), Kristin Hung, MD (MGH) (Feb '18), May Wakamatsu, MD (MGH) (Jan '14), and Karen Sepucha, PhD (MGH) (June '12): The work we did in the CPIP program several years ago paid off as we were able to conduct a follow-up pilot study focused on Decision Aids and Shared Decision Making in Urogynecology, which was published in Menopause. Click here to view the article.
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Hilary McGuire, DNP, FNP-BC, ACHPN (DFCI) (June '21) and Kate Lally, MD, FAAHPM (DFCI) (June '21): Won 2nd place for our quality improvement poster, Serious Illness Conversations (SIC) in the Community: A Quality Improvement Project to Increase SIC Documentation in the Community Oncology Setting. Click here to view the poster.
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Stephanie Santoro, MD (MGH) (June '19) and Clorinda Cottrell, MSW, LICSW (MGH) (June '19): We published our project titled Using a Communication Passport within a Multidisciplinary Genetics Clinic in Pediatric Quality and Safety. Click here to view the article.
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Phuong Vo, BSN, RN, OCN, MEDSURG-BC (DFCI) (June '21): Our project titled Improving Patient Safety through Utilizing Appropriate Intravenous Site was accepted as a podium presentation at 47th ONS Congress in Anaheim, CA and as a poster presentation at NurseCon At Sea Conference. Click here to view the poster.
If you have an update you would like to share, please submit it under this link.
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